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J Arthroplasty. 2006 Sep;21(6):874-7.

Incidence and timing of myocardial infarction after total joint arthroplasty.

Author information

1
Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada.

Abstract

Retrospective review of 3471 patients who underwent total joint arthroplasty (TJA) (1479 hips, 1992 knees) to determine the incidence and timing of inhospital myocardial infarction (MI) after TJA. Sixty-three patients (1.8%; 95% CI, 1.4%-2.4%) suffered a perioperative MI occurring at a mean of 3 days post surgery. In multivariate analysis, increased age, body mass index, bilateral TJA, diabetes, and American Society of Anesthesiologists rating 3 were associated with perioperative MI. Our data cautions against hospital discharge within 3 days of surgery.

PMID:
16950042
DOI:
10.1016/j.arth.2005.10.007
[Indexed for MEDLINE]

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